Measuring patient attributes and engagement in treatment

Joe, George W.; Broome, Kirk M.; Rowan-Szal, Grace A.; Simpson, D. Dwayne

doi:10.1016/s0740-5472(02)00232-5

Cited by 183 publications

(194 citation statements)

References 61 publications

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“…The scales have been used in the many large-scale US drug treatment studies. Information on psychometric properties is available (Joe et al, 2002;Knight et al, 1994). Each item is scored on a 5-point Likert Scale (1=disagree strongly to 5=agree strongly).…”

Section: Methodsmentioning

confidence: 99%

The role of the early therapeutic alliance in predicting drug treatment dropout

Meier

Donmall

McElduff

et al. 2006

Drug and Alcohol Dependence

128

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Background: To investigate the role of the therapeutic alliance in predicting length of retention in residential drug treatment. Methods:The study recruited 187 clients starting residential rehabilitation treatment for drug misuse in three UK services. Counsellor and client information was assessed at intake, and the average total scores of client and counsellor ratings on the WAI-S (obtained during weeks 1 to 3) were use as the alliance measure. Length of retention and treatment completion (stay beyond 90 days) were used as measures of retention.Results: Clients with weak counsellor rated alliances dropped out of treatment significantly sooner than clients with strong counsellor-rated therapeutic alliances, whether or not the model adjusted for individual counsellor effects and potential confounders including psychological wellbeing, treatment motivation and readiness, coping strategies, and attachment style. The client rated alliance did not predict length of retention. Apart from the alliance, pre-treatment crack use, secure attachment style and better coping strategies were associated with shorter retention, whereas greater confidence in treatment, older client age and better education predicted treatment completion. Counsellors with greater experience of delivering drug counselling retained clients longer. Conclusions:The findings of this study stress the importance of treatment professionals attending to the therapeutic alliance in drug treatment, as counsellors' alliance ratings were found to be amongst the strongest predictors of dropout. Using alliance measures as clinical tools may help treatment practitioners to become aware of the risk of disengagement early on. Prospective studies are needed to evaluate whether strategies of reallocating clients with poor alliances to different counsellors lead to improvements in retention.

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Section: Methodsmentioning

confidence: 99%

The role of the early therapeutic alliance in predicting drug treatment dropout

Meier

Donmall

McElduff

et al. 2006

Drug and Alcohol Dependence

128

View full text Add to dashboard Cite

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“…These different components were evaluated through the SocioDemographic Questionnaire 20,21 ; the Positive Symptoms Index (PSI) from BSI (Portuguese version of Canavarro, 1999) 22 and the MEEP 20,21 based on TCU-CEST 23 . Higher scores reflect higher indicators of treatment efficacy.…”

Section: Monitoring and Evaluation Of Effectiveness And Progress (Meementioning

confidence: 99%

Efficacy indicators of four methods in outpatient addiction treatment

Moura

Pinto

Ferros

et al. 2017

Arch. Clin. Psychiatry (São Paulo)

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Background: In Portugal, as far as we know, there are no recent studies that evaluated the comparative efficacy of therapeutic modalities in addiction problems by reference to a holistic and psychosocial model of effectiveness. Objectives: Using a sample of Portuguese patients in outpatient treatment for drug and alcohol abuse, this study aimed to examine if a combined treatment modality (group therapy with individual intervention) had greater overall efficacy when compared to other three types of treatment without group therapy. Methods: This is a correlational and cross-sectional study using a convenience sample of patients (N = 254) from an outpatient treatment in the Intervention Service on Addictive Behaviors and Substance Dependence. At the time of data collection, the patients were attending four types of treatment, such as receiving intervention based on individual psychological counseling (n = 66); receiving individual psychiatric counseling (n = 68); receiving both individual psychological and psychiatric counseling (n = 102); and receiving not only individual counseling (i.e., psychology or psychiatry), but also attending group therapy (n = 18). Results: Using MANOVA and Wilks's multivariate test criterion, there was a significant effect of treatment modality on the global efficacy, Λ = 0.88, F(9, 603) = 3.75, p < 0.0001. Examination of mean estimates indicated that patients in a combined therapeutic modality revealed more treatment involvement compared to patients in other therapeutic modalities without group therapy. Discussion: The results obtained in this study highlight the importance of integrating interventions in a collaborative way. A combined therapeutic modality, adding group therapy, was associated with positive effects, such as more levels of peer support and involvement in treatment, and increasing the individual's probability to remain abstinent.

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“…For instance, clinical decisions about which specific treatments are more suitable according to the different patterns of drug or alcohol use and the different characteristics of drug users 6 . Monitoring can also optimize the results of treatment 7 and monitor the need and the readiness for change in programs and organizational factors 8 and contribute to retention in treatment 9 . Further, the monitoring method can overcome the ethical problems of complex and large assessments, including the burden of time and efforts to generate high follow-up rates 5 .…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of substance abuse treatment: development of a brief questionnaire

Moura¹,

Ferros²,

Negreiros³

2015

Arch. Clin. Psychiatry (São Paulo)

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Background: Practitioners need brief instruments to monitor outcomes in both treatment of drugs and alcohol addiction because they are useful to guide decision making in a short time. Objectives: This study aims to develop a brief questionnaire, based on Client Evaluation of Self and Treatment, to evaluate the treatment effectiveness in drug and alcohol addiction treatment settings. Methods: A cross-sectional study using a convenience sample (N = 608) recruited from Division for Intervention on Addictive Behaviours and Dependencies (DICAD -ARS North). Results: The results show a new four-factor solution that accounted for 54.4% of the total variance and that provides the best fit to the data (c 2 /df = 1.72, CFI = .94, GFI = .91, RMSEA = .048 [.040-.057]; prmsea = .623). It also revealed a high internal consistency (a = .82). It was found a significant negative correlation (r = -.52, p < .01) between the final version of the instrument and a self report measure of psychopathology symptoms. Discussion: This brief questionnaire, with good psychometric properties, can be useful to provide a viable and rapid feedback of treatment outcomes. Further studies should be performed to continue the evaluation of the reliability of this measure.

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Measuring patient attributes and engagement in treatment

Cited by 183 publications

References 61 publications

The role of the early therapeutic alliance in predicting drug treatment dropout

The role of the early therapeutic alliance in predicting drug treatment dropout

Efficacy indicators of four methods in outpatient addiction treatment

The effectiveness of substance abuse treatment: development of a brief questionnaire

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